Professional Education


  • Bachelor of Arts, Johns Hopkins University (2009)
  • Diploma, University of Pennsylvania (2010)
  • Doctor of Medicine, Drexel University (2016)
  • General Surgery Residency, New York Presbyterian Queens Hospital
  • Medical Education, Drexel University College of Medicine (2016)
  • BA, Johns Hopkins University, History (2009)

Community and International Work


  • City Year Corps Team Leader, Philadelphia, PA

    Topic

    Mentoring, Tutoring, Interventions to address Philadelphia high school dropout rates

    Partnering Organization(s)

    City Year, AmeriCorps

    Location

    International

    Ongoing Project

    No

    Opportunities for Student Involvement

    No

All Publications


  • A Generalizable Multimodal Scrub Training Curriculum in Surgical Sterile Technique. MedEdPORTAL : the journal of teaching and learning resources Anderson, T. N., Hasty, B. N., Schmiederer, I. S., Miller, S. E., Shi, R., Aalami, L. R., Huffman, E. M., Choi, J. N., Lau, J. N. 2021; 17: 11077

    Abstract

    Introduction: Recent endeavors from governing bodies such as the AAMC have formally recognized the importance of aseptic technique. AAMC guidelines include activities that all graduating physicians should be able to perform with minimum indirect supervision and were developed to recognize these needs. For example, the skills necessary for aseptic technique include daily safety habits and general physician procedures.Methods: We developed a scrub training curriculum and evaluated the program through a quasi-experimental study with a pre- and posttest design. Questions were developed to examine students' perceived knowledge and skills as related to the objectives of the course and to their anxieties, concerns, and future training needs.Results: Between February 2020 and March 2020, 44 students completed the curriculum. Students indicated that self-efficacy significantly increased in all aspects of the curricular goals following curriculum completion. Students identified understanding OR etiquette as the most anxiety-provoking element associated with scrub training. They felt that more time could be spent elucidating this etiquette. On the other hand, tasks such as surgical hand hygiene were the least anxiety-inducing.Discussion: We share this multimodal scrub training curriculum, mapped to the AAMC's guidelines, to reduce variability in teaching strategies and skills acquisition through a standardized curriculum. Also, we effectively imparted these skills and instilled a sense of confidence in learners as they worked to provide their best in patient care and safety.

    View details for DOI 10.15766/mep_2374-8265.11077

    View details for PubMedID 33553617

  • Preclinical Surgical Preparatory Course and the NRMP Match: Early Exposure and Surgical Recruitment a 10-Year Follow-Up. Journal of surgical education Anderson, T. N., Shi, R., Schmiederer, I. S., Miller, S. E., Lee, E. W., Hasty, B. N., Lin, D. T., Lau, J. N. 2020

    Abstract

    OBJECTIVE: Many medical students mentally commit to specialties prior to entering clerkships. This is why early preclinical interactions with surgical specialties, through mentorship and/or interest groups, increases the opportunity to nurture enthusiasm for surgery. In 2007, a course providing preclinical medical students with introductory surgical skills training and preparation for the surgical environment ("SURG205") was established at our institution. The course underwent a major revision in 2016, increasing intraoperative mentorship by matching students to surgical attendings and requiring students to scrub into operative cases together. We anticipate that the positive surgical experiences created by the course will lead to further development and enhancement of student interest in surgical specialties-interest that we hypothesized would reflect in their National Resident Matching Program (NRMP) Match outcomes.DESIGN: NRMP results from 2010 to 2019 were cross-referenced with a database of students who participated in the SURG205 course from 2007 to 2016. With this, we examined the correlation between student participation in SURG205 and surgical specialty match. Descriptive statistics were used to review the trends of the NRMP results, and Pearson's correlation was used to determine the relationship and its significance.SETTING: This study was conducted in a single private medical school in California.PARTICIPANTS: Specialties considered "surgical" included: General Surgery, integrated programs-such as Plastic, Thoracic, or Vascular surgery, Obstetrics and Gynecology, Orthopedic Surgery, Otolaryngology, Neurosurgery, and Urology. All other specialties were considered nonsurgical. Students identified as having participated in SURG205 and who then also took part in the NRMP.RESULTS: Seven hundred eighty students underwent the Match process from 2010 to 2019. 144 (18.5%) of these students participated in SURG205 between 2007 and 2016. Each Match class ranged in size from 62 to 91 (median = 77.5, IQR = 14.5) students. (Table 1) Two-hundred and nineteen students (28.1%) matched into a surgical specialty, of which 34 (15.5%) selected general surgery. From 2010 to 2019 the rate of students who matched into surgical specialties averaged 28.1% per year with a slight nonstatistically significantly increasing trend over that time period R2 = 0.30 (p = 0.09; Fig. 1). There was a significant increase in trend in proportion of students who took the course and matched into any specialty between 2010 and 2019 (R2 = 0.85, p = 0.0002; Fig. 2). And, there was a statistically significant positive relationship between students taking the course and matching into a surgical specialty (R2 = 0.63, p = 0.01; Fig. 3).CONCLUSION: Our results highlight the increasing tendency of students who pursue surgical specialties having previously participated in this early exposure courses. Not only is student interest created and encouraged through positive mentorship experiences, but that interest may be associated with increases in application rates and eventual match into the specialty. General surgery training programs might consider these trends when designing courses to ease transitions into first-year residency positions-such as fourth-year surgical boot camps, surgical procedure-based anatomy courses, and mentorship frameworks. This information further justifies the cost and time commitment required to administer these programs for students.

    View details for DOI 10.1016/j.jsurg.2020.05.016

    View details for PubMedID 32522563

  • Operating Room In Situ Interprofessional Simulation for Improving Communication and Teamwork. The Journal of surgical research Shi, R., Marin-Nevarez, P., Hasty, B., Roman-Micek, T., Hirx, S., Anderson, T., Schmiederer, I., Fanning, R., Goldhaber-Fiebert, S., Austin, N., Lau, J. N. 2020; 260: 237–44

    Abstract

    Effective teamwork and communication are correlated with improved patient care quality and outcomes. The belief that each team member contributes to excellent patient care in the operating room (OR) leads to a more productive work environment. However, poor teamwork and communication lead to poorer OR outcomes. We qualitatively and quantitatively explored perspectives of three OR professions (nursing, anesthesiology, and surgery) on teamwork and communication in the OR preinterprofessional and postinterprofessional in situ OR simulation.One-on-one semi-structured interviews were conducted; 14 pre-in situ simulations during July-October 2017 (three surgery, four anesthesiology, and six nursing staff), and 10 post-in situ simulations during August-November 2017 (five surgery, four anesthesiology, and one nursing staff). Themes were identified inductively to create a codebook. The codebook was used to consensus code all interviews. This analysis informed the development of a quantitative survey distributed to all contactable interviewees (22).Presimulation and postsimulation interview participants concurred on teamwork and communication importance, believed communication to be key to effective teamwork, and identified barriers to communication: lack of cordiality, lack of engagement from other staff, distractions, role hierarchies, and lack of familiarity with other staff. The large majority of survey participants-all having participated in simulations-believed they could use effective communication in their workplace.Establishing methods for improving and maintaining the ability of OR professionals to communicate with each other is imperative for patient safety. Effective team communication leads to safe and successful outcomes, as well as a productive and supportive OR work environment.

    View details for DOI 10.1016/j.jss.2020.11.051

    View details for PubMedID 33360307

  • Defining the Deficit in US Surgical Training: The Trainee's Perspective. Journal of the American College of Surgeons Anderson, T. N., Payne, D. H., Dent, D. L., Kearse, L. E., Schmiederer, I. S., Korndorffer, J. R. 2020

    Abstract

    Self-efficacy (SE) is the personal judgement of how well one can successfully complete a task. The goal of this study is to assess SE of PGY5 residents for common general surgery operations. We hypothesize there are deficits in SE of PGY5 residents, and SE of a given operation correlates with 1) experience performing the operation without attending assistance (independently) and/or 2) teaching the operation start-to-finish.A survey was linked to the 2020 ABSITE. From the ACGME case log's 15 most commonly performed surgeon-chief operations and AHRQ's 15 most common operations, 10 operations were selected. Residents evaluated their ability to perform these operations independently using a 5-point SE scale. Residents were asked if they had experience performing these operations independently and/or teaching the operation start-to-finish. Descriptive statistics and Pearson correlation were used to examine the relationship between SE and operative experience.1145 of 1367 (84%) PGY5 residents responded. Highest SE was in performing wide-local excision (90.24%) and the lowest in performing open thyroidectomy (19.58%) (Table 1). Eighty-eight (7.7%) reported SE in all procedures. Statistically significant positive correlations were identified between experience and SE for cases performed without assistance (r = 0.98, p<0.01) and cases taught (r = 0.91, p<0.01).With 5 months left in training, 92.3% of residents report deficits in preparation for practice as defined by SE to complete common procedures independently. Resident SE increased in direct relation to performed cases and cases taught.

    View details for DOI 10.1016/j.jamcollsurg.2020.11.029

    View details for PubMedID 33385569